Is there a negative effects of drilling away the amalgam fillings?

Q. 2-3 years ago, my last molar on the left side had a big cavity and reached the nerve. my dentist advised me to do a root canal but i decided not to and asked her to do a filling instead. i did a composite one, and another time when it wore down, and switched to amalgam the third time when it had to be replaced (just this year). now, part of my amalgam filling has chipped off. i am not sure how big the chip is in comparison to the cavity but i don’t feel any pain. i think my dentist will want to replace it again but i am concerned about the negative effects of drilling away the amalgam (it releases harmful mercury vapour). what should i do? should i still get the filling replaced? can the chipped part just be filled up with another filling?

A.

You need to ideally discuss your concerns with your dentist. The filling can be re-done or patched up. This is entirely your call. To patch it up, you can expect it to chip off again- and having it re-done may be the best option- but still not guaranteed to NOT chip again. Make sense? If you have concerns regarding the mercury vapour, then discuss this with the dentist. If you have a new amalagma filling, then not much of the amalgam has to be removed in order for more to be added. In order to do a composite filling, then ALL the amalgam has to be removed. It can also be patched up with a materila called glass ionomer that will repair the filling.  If the tooth is heavily filled, then it is always advised to have a crown for protection. Hope this has helped.

Dr Kailesh Solanki Kissdental – UK Practice of the Year 2007 157 Woodsend Road, Flixton, Manchester, M41 8GN.2 New Street, Altrincham, Cheshire, WA14 2QS. 13 Stanley Street, Manchester, M8 8SH. Web: www.kissdental.co.uk Tel: 0161 748 5250 View My Profile Dr Solanki

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